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. <br /> �.� <br /> W. D. Fcrm I <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> ' APPLICATION FOR WATER <br /> All blanks musl be filled in ar crossed out <br /> f:vcretl�.__... ._... . . ;c .._.'_./- . .__...___. .....19�_�.. <br /> 1'O Tltls Sl;l'I�:NIN7'h:�DENT OF T)IE WATRR DEPARTMENT: <br /> CITY OF EVF.RETT: <br /> I hereby apply tor thc �x o[ watcr in nrcnrdanro with lhe rules and regu- <br /> I;itions ot thc Wnter Department, tar purposos and fixtures slated brlow. <br /> During thc limr th;it any of ihc walcr mains may bc lakrn up by rcason <br /> nf nnv imprncemrnls auLmriud bv the Cily of F.vrrelt, in a� of any street or <br /> :illcy�in �ehich �tcy may hnvc becn�laid, thc CiIY will nol br requircd tu furnich <br /> �c:iler durinti the progress of such imprnvrmrnts to any cunsumrr �chose sup' <br /> ,ily m.�y thus bc ru[ oft, ur bc linble (or nny dnmages (ur its fnilure sn tn do. <br /> Applicalion Na.�.:_�-�...%..G._.___. <br /> Illnck ._.___. __...._....__.. .. Lot. ___r1� ' .... Add. . . . . <br /> Nn. 1 � : � ( :�:a--F � .z . .. ..��� ...0 .. Slreel <br /> : t�� �� .... . <br /> ... <br /> 7'hc �vork to I�e executed by_ .._..._ .... . Plumbcr <br /> Stat�� sixc of lnp. <br /> i <br /> . �%._.Tap lo be inserted i:i the main <br /> ._...1Valcr closel <br /> _...Aath <br /> Urinal <br /> __.Plain Inucrt insidc � � <br /> ._Sidc u�nik �e:�shrr - . <br /> ` �' � <br /> , .__Itose bib OUI51(IC ' I ,. � <br /> _.liase bib tnr building pw'poecs � �- <br /> . _ ][asc bib insidc , <br /> . ....I3ib tor slablc cnnlaining. �In❑ <br /> ..Num6rr nt prrsnns in inml!y <br /> ._.Numbcr ut �ooms in Uuil�linc <br /> 'I�ii�� premises arr ta bc usrd as a <br /> 'Pi�,�� u«�ncr of Ihc prmnises is._. <br /> '!',��� a�:cnt is..__.._...__ . . . .. . . ._ . .___ . . . . . <br /> 'I-h., :�pplicnlion. allhnuFh si�n�d, =hol1 nnt br hindin� upon thr Cily. until <br /> .��,-��p�.,�.i by thc Superin�endqnl u[ Ihr Watcr Dcparbnrnl. <br /> � � Si!�.nrd\�... �`/ � � � `�_. ' C ( '.. ` < . � . .....Applicanl <br /> � A��n�ptr.� I^. Ry . <br /> tiupvrinlrnd��nl. <br />